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8 Major Death Cases Which Are Not Covered in Term Insurance

Term life insurance plans provide compensation to your family or relevant nominee if you die within the policy tenure.  After your demise, a lump sum death benefit is paid to your nominee. While a term plan is great for ensuring the financial protection of your dependents after your death, not all deaths are covered under such policies. Hence, it is prudent to be orderly aware of the terms and conditions of a term insurance plan before investing in it.

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8 Major Death Cases That Are Not Covered Under Term Life Insurance 

The 8 major death cases that are not covered under term insurance are:

  • Murder: Under two situations, compensation shall not be given under term life insurance if the policyholder is murdered. These situations are:

    • Situation 1: If the nominee is a criminal: The insurance company will not settle the claim if it is revealed that the nominee was involved in the policyholder's murder after the relevant investigations. The payout under this plan will only be made if the nominee is innocent of all crimes or if the murder charges are dropped.  The insurance company withholds the payout for an indefinite period till the case is resolved in the nominee's favor. 

    • Situation 2: If the policyholder died due to their involvement in any criminal activity. The insurance company will not settle the claim if the policyholder gets murdered due to his/her involvement in a crime defined by the law. Conversely, the nominee will get the payout if the policyholder has a criminal record but dies due to natural uncertainties like medical conditions or accidents.

  • Death Occurs Under Alcohol Influence: In case the policyholder dies by driving under the influence of any narcotic substance or alcohol, the insurance company will reject the claim. Most insurers do not issue life insurance plans to individuals who consume narcotic substances or drink heavily. If policyholders had not orderly disclosed such habits while investing in their term life insurance policy, the insurance company shall withhold the death benefit. If you are a heavy drinker, you need to provide a correct declaration of history of alcohol consumption in the proposal form during the underwriting stage. This declaration will include the type and quality of alcohol consumed by them. Submitting this declaration beforehand can prevent claim rejection. 

  • Death Caused Due to Heavy Smoking: If you are a smoker, it is important to reveal the habit before investing in the term insurance plan. Smokers have a higher degree of health risk, and many insurance companies add an extra amount or load to the premium for them. Suppose you do not disclose this habit while purchasing the policy. In that case, the insurance company can deny the claim if your demise was caused due to any smoking-associated complication or health condition.

  • Death Caused by Participating in Hazardous Activities:  Death caused due to taking part in any hazardous or adventurous activity is not covered by a term insurance plan. Such activities pose a threat to your life and can lead to fatal accidents. Suppose you commonly participate in adventure sports like hiking, parachuting, paragliding, skydiving, or bike and car racing. In that case, you need to disclose this information at the time of purchasing the policy. Not doing so is a material misrepresentation, and your insurance company is not warranted to honor the claim if your death occurs due to a hazardous activity or sport.

  • Death Due to Pre-Existing Health Conditions: If you die due to any medical condition that existed during the time of availing of the term life insurance policy, the insurance company will not settle the claim.  You need a specific rider to cover pre-existing critical illnesses that can lead to death.  Death due to STDs like AIDs or HIV is also not settled by the insurer if a rider does not cover it.

  • Suicidal Death: Several insurance companies do not provide coverage for suicidal death. Therefore, you need to go through the terms and conditions of these plans properly before investing in them. 

In addition to the situations mentioned above, you need to consider what is term insurance and the types of deaths they do not cover, like death due to terrorist attacks and/ or deaths taking place outside the country. Exact details about the exclusions of a plan can be found in its relevant policy document.  Therefore, it becomes crucial to acquaint yourself with all the terms and conditions of your policy. You can calculate the premiums applicable for the suitable term plan cover using the term insurance calculator available online.

In Conclusion

Many invest in term insurance to be assured that their nominee acquires a lump sum amount if they die within the policy tenure.  However, there are many instances under which life insurance policies shall not cover your death. You need to be adequately aware of these situations before purchasing a term insurance policy.  Knowing the exclusions will help your family or nominee avoid any confusion during the claim in case your death occurs in any of the situations mentioned above.

Note: Check all the best term insurance plan in India.

Note: You should also check the benefits of term life insurance if you are planning to purchase the term insurance plan.

FAQ's

  • Q1. What are riders under term insurance?

    Ans. Riders refer to optional benefits that can be added to your term life insurance plan on the payment of an additional premium amount. Waiver of premium and accident cover is two of the most popular riders. The former provides additional cover in the situation of death or disability caused due to an accident. The latter waives off the premium amount if you have a disability or critical illness or have a genuine inability to work.
  • Q2. What happens if the policyholder does not die within the term life insurance coverage tenure?

    Ans.  The insurance policy will terminate after the relevant tenure, and survival benefits will be paid off (if available). You can also renew the policy to avail continued life protection.
  • Q3. What is the difference between linked and non-linked insurance plans?

    Ans. Linked insurance plans provide insurance coverage alongside returns that are dependent on the performance of the financial market. Non-linked insurance plans are the traditional policies that provide only insurance coverage along with returns or benefits that are not associated with the movement in the market forces.
  • Q4. What is the ideal amount for term life insurance coverage?

    Ans. As a rule of thumb, you have to have a life cover that is at least ten times your annual income. On the whole, your coverage has to be enough to account for your current liabilities and your family member's needs in the situation of your untimely death. For example, if you have taken a car loan of INR 60 lakhs, you have to make sure that your life cover is sufficient to cover the liability, and your dependents do not have to bear its expense after your death.
  • Q5. What should be the tenure of term life insurance coverage?

    Ans. The ideal coverage tenure will depend on how early you invest in a term life insurance plan. The earlier you purchase the plan, the longer you can be covered.  For prolonged protection, you should opt for the maximum tenure possible.

Premium By Age

˜Top 5 plans based on annualized premium for bookings made on https://www.policybazaar.com  in the first 6 months of FY 24-25.

Policybazaar does not endorse, rate or recommend any particular insurer or insurance product offered by any insurer. This list of plans listed here comprise of insurance products offered by all the insurance partners of Policybazaar. For a complete list of insurers in India refer to the Insurance Regulatory and Development Authority of India website, www.irdai.gov.in

+Rs. 487/month (Rs.16/day) is starting price for a 1 crore term life insurance for an 18 year-old male, non-smoker, with no pre-existing diseases, cover upto 38 years of age.

Prices offered by the insurer are as per the approved insurance plans | #All savings and online discounts are provided by insurers as per IRDAI approved insurance plans | Standard Terms and Conditions Apply | **Tax Benefits are subject to changes in tax laws.| Policybazaar Insurance Brokers Private Limited

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+Rs. 820/month is starting price for a 2 crore term life insurance for an (NRI) 18 year-old male, non-smoker, with no pre-existing diseases, cover upto 38 years of age.

+Rs. 1,443/month is starting price for a 5 crore term life insurance for an (NRI) 18 year-old male, non-smoker, with no pre-existing diseases, cover upto 38 years of age.

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